Nursing Interventions
Lagniappe I
Patient Problems
Lagniappe II
Conditions
100

Following surgical repair of a cleft palate, what should be used to prevent injury to the suture line?

Cup

100

Recurrent abdominal pain (RAP) is most often seen in school-age or adolescent children. The nurse should assess closely for what potential problems?

Emotional problems

100

Parents of a school-age child ask the nurse for suggestions in helping the child who is demonstrating school avoidance. What is an appropriate suggestion by the nurse?

Be firm and insist the child go to school

100

The nurse instructs the parents of a child who has had a myringotomy to place the child in which position?

On the affected side

100

What should the nurse assess in an infant who has been diagnosed with hypertrophic pyloric stenosis?

An olive-shaped mass right of the midline

200

How should the nurse measure urinary output for an infant with dehydration?

Weighing the diaper

200

Since children with attention deficit hyperactivity disorder (ADHD) take medication for long periods of time, side effects must be considered. How often should children be assessed for side effects of the drug therapy?

Every 6 months

200

Following a bout of diarrhea, which foods should be offered to the school-age child?

Oral rehydration solution

200

When speaking to young parents, the nurse states that lead poisoning is one of the most common preventable health problems affecting children. What condition occurs when the level of lead ingested exceeds the amount that can be absorbed by the bone?

 


Anemia

200

Which statement correctly explains the etiology of Down syndrome?

  

There is an extra chromosome on the 21st pair

300

The health care provider is treating a child with meningitis with a course of antibiotic therapy. When should the nurse expect the child to be out of isolation?

When the antibiotics have been initiated for 24 hours

300

What congenital defect is common in children with Down syndrome?

Heart defects

300

Which is a long-term complication of cleft lip and palate?

Faulty dentition

300

When selecting patient problems for the 4-year-old child with nephrosis, what should be a priority for the nurse?

 Skin impairment

300

Which additional congenital malformation is expected in 80% of infants with a myelomeningocele?

Hydrocephalus

400

The nurse is caring for a newborn with a myelomeningocele. Before surgery, what should the nursing interventions include?

Covering the lesion with a sterile, saline-soaked gauze

400

The nurse explains that cognitive impairment is categorized by four levels that depend on the intelligence quotient (IQ). How is a child with an IQ of 70 classified?

Intellectual Disability

400

What is the priority patient problem for the parents of a newborn born with cleft lip and palate?

  Risk for impaired attachment

400

An adolescent female asks the nurse about taking retinoic acid (Accutane). What guidance should be provided by the nurse?

 The medication requires that sexually active females use contraception

400

Which is a causative factor of Hirschsprung disease?

The absence of parasympathetic ganglion cells in a portion of the colon

500

An infection of the protective covering of the brain is called _____________.

Meningitis

500

Septic arthritis/septic joint can result in permanent damage and destruction of the joint if left untreated. This disease can be caused by which of the following:

Ear infection    

Tick bite    

Open fracture

500

When caring for a 9-month-old patient who underwent surgery to repair a cleft palate, what is the priority intervention?

Maintaining optimal nutrition

500

A new mother asks the clinic nurse if she must continue giving her baby nystatin for thrush since the white lesions on his tongue have disappeared. What response by the nurse is most appropriate?

“Yes. You should continue it for the full 7 days."

500

When caring for a 7-week-old infant with hypothyroidism, the nurse explains that the prevention of what complication is dependent on the administration of oral thyroid replacement therapy and is critical for the child?

 Cognitive impairment

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